In a hospital setting, the care provider takes the patient's history, details the reason the patient is being admitted, and performs a physical exam. The report of this information is known as the:
A. history and physical
B. initial progress note
C. discharge summary
D. SOAP note
Answer: A
You might also like to view...
Most of the structures and glands of the endocrine system develop during the first ________ months of pregnancy.
A. five B. three C. two D. seven
ICD-10-CM requires coders to determine the weeks of gestation for pregnant women. Which of the following is TRUE in regards to the impact this might have on diagnosis abstracting?
A) It will require querying the physician if the documentation is not specific enough. B) Coders will need to search the documentation further for the weeks of gestation. C) Coders will have to develop a new methodology. D) Both B and C.
Encoders are software programs that use branching logic to arrive at the most accurate DRG.
Answer the following statement true (T) or false (F)
This insurance plan encourages the patient to seek health care at a specific location or facility, typically where a contract for less cost has been negotiated
A) ABN B) POS C) PPO D) BSBS